Office Ally may, at its sole option, add or remove Payers to the Services at any time. Office ally will use commercially reasonable efforts to provide Customer with written notice of such removals.
NOTICE: The Payer List page is currently unavailable due to scheduled maintanance
Payer Name
Payer ID
Transaction
Available
Non Par
Enrollment
NOTES
Corporate Plan Management
Payer ID
64270
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Corporate Plan Management 64270 835
Corrigan-Camden ISD
Payer ID
J3942
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Corrigan-Camden ISD J3942 835
Country Financial Medicare Supplement
Payer ID
95705
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA only payer - IAS Admin Payer.
Country Financial Medicare Supplement 95705 835
County Care Health Plan
Payer ID
06541
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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County Care Health Plan 06541 835
County of Santa Clara
Payer ID
J4488
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
County of Santa Clara J4488 835
County of Solano
Payer ID
J2108
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
County of Solano J2108 835
Covenant Administrators Inc.
Payer ID
58102
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Atlanta, GA.
Covenant Administrators Inc. 58102 835
Cox Health Plan
Payer ID
00019
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Cox Health Plan 00019 835
Crum & Forster Medicare Supplement
Payer ID
96618
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA only payer - IAS Admin Payer.
Crum & Forster Medicare Supplement 96618 835
CSAA Insurance Company
Payer ID
C1090
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
CSAA Insurance Company C1090 835
CSI Life Insurance Company Medicare Supplement
Payer ID
95707
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA only payer - IAS Admin Payer.
CSI Life Insurance Company Medicare Supplement 95707 835
Curative Health
Payer ID
CURTV
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Curative Health CURTV 835
Cure Auto Insurance For NJ Auto
Payer ID
C1092
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Cure Auto Insurance For NJ Auto C1092 835
Custom Benefit Administrators
Payer ID
39081
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Custom Benefit Administrators 39081 835
Custom Design Benefits, Inc.
Payer ID
82056
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Custom Design Benefits, Inc. 82056 835
CVS Pharmacy (CAREMARK)
Payer ID
J3973
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
CVS Pharmacy (CAREMARK) J3973 835
CWI Benefits, Inc.
Payer ID
57080
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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CWI Benefits, Inc. 57080 835
CYPRESS BENEFIT ADMINISTRATORS
Payer ID
88056
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA can be found under "Premier HealthCare Exchange (PHX) - Cypress Benefit Admin"
CYPRESS BENEFIT ADMINISTRATORS 88056 835
Davis Vision
Payer ID
00157
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Davis Vision 00157 835
Dawson ISD
Payer ID
J3929
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Dawson ISD J3929 835
Dean Health Plan
Payer ID
39113
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Dean Health Plan 39113 835
Dean Health Plan (Medica)
Payer ID
41822
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment under "Dean Health Plan"
Dean Health Plan (Medica) 41822 835
Delano Regional Medical Group (Managed Care Systems)
Payer ID
MCS03
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Delano Regional Medical Group (Managed Care Systems) MCS03 835
Delaware First Health (Centene)
Payer ID
68069
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment forms listed under Centene Corporation.
Delaware First Health (Centene) 68069 835
Dell, Inc. - CORVEL
Payer ID
J1983
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Dell, Inc. - CORVEL J1983 835
Delta Health Systems
Payer ID
DHS01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Please Note: P5 Health Plan Solutions of Utah (87068) was taken over by Delta Health Systems and is no longer active. Providers should refer to the patient’s current healthcare ID card for the administrator of benefits and Payer ID.
Delta Health Systems DHS01 835
Denti-Cal
Payer ID
94146
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA Enrollment is completed with EDI Enrollment.
Denti-Cal 94146 835
Denver Health and Hospital Authority
Payer ID
84133
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Denver Health and Hospital Authority 84133 835
Denver Health Medical Plan
Payer ID
84135
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Denver Health Medical Plan 84135 835
Department of Corrections - Oklahoma
Payer ID
71065
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Effective 1/1/18. Providers wishing to receive ERAs for this payer ID must enroll under UMR (39026)
Department of Corrections - Oklahoma 71065 835
Department of Social and Health Services (DSHS)
Payer ID
MC006
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Department of Social and Health Services (DSHS) MC006 835
Department Rehabilitative Services - Oklahoma
Payer ID
71065
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Effective 1/1/18. Providers wishing to receive ERAs for this payer ID must enroll under UMR (39026)
Department Rehabilitative Services - Oklahoma 71065 835
Deseret Mutual Benefit Administrators
Payer ID
SX105
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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A UHIN pass through fee applies to this transaction.
Deseret Mutual Benefit Administrators SX105 835
Devoted Health
Payer ID
DEVOT
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Devoted Health DEVOT 835
DHMN - Preferred IPA Hospital Risk
Payer ID
DHM02
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
DHMN - Preferred IPA Hospital Risk DHM02 835
DHMN Santa Cruz
Payer ID
DHM01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
DHMN Santa Cruz DHM01 835
Diamond Bar Medical Group
Payer ID
NMM01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Diamond Bar Medical Group NMM01 835
Dignity Health - Mercy Medical Group / Woodland Clinic
Payer ID
PROH1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Dignity Health - Mercy Medical Group / Woodland Clinic PROH1 835
Director's Guild of America - Producer Health Plans
Payer ID
BC001
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment is completed under Payer ID 47198
Director's Guild of America - Producer Health Plans BC001 835
Diversified Administration Corporation
Payer ID
06102
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Diversified Administration Corporation 06102 835
Diversified Group Brokerage
Payer ID
06102
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Diversified Group Brokerage 06102 835
DMERC Region A Medicare
Payer ID
16003
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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EDI enrollment form under Payer Enrollment Forms - All or Multiple States. Coverage: CT, DE, District of Columbia, MA, ME, MD, NH, NJ, NY, PA, RI, and VT. Effective 6/30/16 (3pm EST), Jurisdiction A will transition from NGS to CGS (Contractor Code: 16013). Office Ally will handle all updates on the back end and no submitter action is required.
DMERC Region A Medicare 16003 835
DMERC Region B Medicare
Payer ID
17003
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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EDI enrollment form under Payer Enrollment Forms - All or Multiple States. Coverage: IL, IN, KY, MI, MN, OH, and WI. Effective 6/30/16 (3pm EST), Jurisdiction B will transition from NGS to CGS (Contractor Code: 17013). Office Ally will handle all updates on the back end and no submitter action is required.
DMERC Region B Medicare 17003 835
DMERC Region C Medicare
Payer ID
00885
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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EDI enrollment form under Payer Enrollment Forms - All or Multiple States. Coverage: AL, AR, CO, GA, FL, LA, MS, NC, NM, OK, SC, TN, TX, VA, WV, Puerto Rico, and US Virgin Islands. Contractor Code: 18003.
DMERC Region C Medicare 00885 835
DMERC Region D Medicare
Payer ID
05655
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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EDI enrollment form under Payer Enrollment Forms - All or Multiple States. Coverage: AK, AZ, CA, HI, ID, IA, KS, MO, MT, NE, NV, ND, OR, SD, UT, WA, and WY. Contractor Code: 19003.
DMERC Region D Medicare 05655 835
Doctors Healthcare Plans
Payer ID
DRHCP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Doctors Healthcare Plans DRHCP 835
Downey Select IPA
Payer ID
APP01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Please use the enrollment form located under Optum Care Network.
Downey Select IPA APP01 835
Driscoll Childrens Health Plan
Payer ID
74284
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Driscoll Childrens Health Plan 74284 835
Dupage Medical Group
Payer ID
DMG01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Dupage Medical Group DMG01 835
East Bay Drainage Drivers Security Fund
Payer ID
DHS01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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East Bay Drainage Drivers Security Fund DHS01 835
East Boston Neighborhood Pace
Payer ID
25849
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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East Boston Neighborhood Pace 25849 835
Easy Choice Health Plan of California (Wellcare of California)
Payer ID
14163
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment instructions can be found under WellCare Health Plan
Easy Choice Health Plan of California (Wellcare of California) 14163 835
Ebix Health Administration Exchange (EHAE)
Payer ID
55069
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Ebix Health Administration Exchange (EHAE) 55069 835
Edenbridge PACE of West Baltimore
Payer ID
R3491
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Edenbridge PACE of West Baltimore R3491 835
Edinger Medical Group
Payer ID
GNPMG
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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The ERA enrollment form will be listed under "MemorialCare".
Edinger Medical Group GNPMG 835
Edwards Claim Administration
Payer ID
J1204
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Edwards Claim Administration J1204 835
El Camino Health Alliance
Payer ID
ECL01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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El Camino Health Alliance ECL01 835
El Camino Health Medical Network
Payer ID
S9637
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Effective 9/1/2019 Previously known as San Jose Medical Group. Enrollment completed under Silicon Valley Medical Development.
El Camino Health Medical Network S9637 835
ElderPlan, Inc.
Payer ID
31625
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Elderplan Provider ID is necessary on all claim submissions. If you do not know your provider ID, contact (718) 921-7979.
ElderPlan, Inc. 31625 835
Elderwood Health
Payer ID
03964
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Elderwood Health 03964 835
Elips Life Insurance Company Medicare Supplement
Payer ID
96801
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA only payer - IAS Admin Payer.
Elips Life Insurance Company Medicare Supplement 96801 835
El Paso First - CHIP
Payer ID
EPF03
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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El Paso First - CHIP EPF03 835
El Paso First Health Plans Premier Plan STAR Medicaid HMO
Payer ID
EPF02
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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El Paso First Health Plans Premier Plan STAR Medicaid HMO EPF02 835
EMHS Employee Health Plan
Payer ID
16565
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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EMHS Employee Health Plan 16565 835
EMI Health
Payer ID
SX110
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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A UHIN pass through fee applies to this transaction.
Employee Benefit Services - Ft. Mill, South Carolina
Payer ID
37216
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Employee Benefit Services - Ft. Mill, South Carolina 37216 835
Employee Benefits Plan Administration (EBPA)
Payer ID
03036
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Employee Benefits Plan Administration (EBPA) 03036 835
Empower Arkansas
Payer ID
12956
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Empower Arkansas 12956 835
Encompass Specialty Surgery Network
Payer ID
J2369
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Encompass Specialty Surgery Network J2369 835
Enstar Natural Gas, Group # P61
Payer ID
91136
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment form under 'Welfare Pension Administration Services'
Enstar Natural Gas, Group # P61 91136 835
Envolve Vision (Formerly known as OptiCare Managed Vision)
Payer ID
56190
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment forms are listed under OptiCare Managed Vision.
Envolve Vision (Formerly known as OptiCare Managed Vision) 56190 835
EPIC BB Everest Premier Insurance Co # 206
Payer ID
J4014
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
EPIC BB Everest Premier Insurance Co # 206 J4014 835
Erie Insurance Medicare Supplement
Payer ID
96486
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA only payer - IAS Admin Payer.
Erie Insurance Medicare Supplement 96486 835
ES Beveridge & Associates
Payer ID
34108
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ES Beveridge & Associates 34108 835
Esperanza IPA
Payer ID
EIPA8
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Esperanza IPA EIPA8 835
Everence
Payer ID
35605
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Everence 35605 835
Everest Medicare Supplement
Payer ID
96529
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA only payer - IAS Admin Payer.
Everest Medicare Supplement 96529 835
Evergreen Health
Payer ID
45319
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Evergreen Health 45319 835
EverNorth Behavioral Health
Payer ID
62308
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Formerly known as CIGNA Behavioral Health. Enrollment instructions listed under Cigna Healthcare.
EverNorth Behavioral Health 62308 835
Evernorth Network Services
Payer ID
62350
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Evernorth Network Services 62350 835
Evolutions Healthcare Systems
Payer ID
59313
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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New Port Richey, Florida.
Evolutions Healthcare Systems 59313 835
Excel MSO
Payer ID
EXC01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment is completed under Optum Care Network.
Excel MSO EXC01 835
Excel MSO UHC PPO
Payer ID
EXC02
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Excel MSO UHC PPO EXC02 835
Exceptional Care Medical Group (ECMG)
Payer ID
CAPMN
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment under Conifer Health Solutions.
Exceptional Care Medical Group (ECMG) CAPMN 835
Exclusicare
Payer ID
71412
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Exclusicare 71412 835
EyeMed
Payer ID
31165
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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EyeMed 31165 835
F40 Alaska Carpenters Trust
Payer ID
91136
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment form under 'Welfare Pension Administration Services'
F40 Alaska Carpenters Trust 91136 835
Facey Medical Foundation
Payer ID
STJOE
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Facey Medical Foundation STJOE 835
Falling Colors (BHSD STAR)
Payer ID
FCC20
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERAs returned automatically.
Falling Colors (BHSD STAR) FCC20 835
Fallon Community Health
Payer ID
22254
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Fallon Community Health 22254 835
Family Choice Medical Services
Payer ID
FCMS2
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Family Choice Medical Services FCMS2 835
Family Health Alliance
Payer ID
CAPMN
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment under Conifer Health Solutions.
Family Health Alliance CAPMN 835
Family Practice Medical Group
Payer ID
10145
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Family Practice Medical Group 10145 835
FCCI
Payer ID
J1830
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
FCCI J1830 835
FCE Benefit Administrators
Payer ID
33033
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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FCE Benefit Administrators 33033 835
Federal Employee Plan of South Carolina
Payer ID
00402
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Federal Employee Plan of South Carolina 00402 835
Federal Employees Plan WA (Regence Blue Shield)
Payer ID
00932
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Federal Employees Plan WA (Regence Blue Shield) 00932 835
